Elective caesarean delivery: A mixed method qualitative investigation

Kennedy, Holly Powell; Grant, Jane; Walton, Cathy; Sandall, Jane

doi:10.1016/j.midw.2012.12.008

Cited by 26 publications

(38 citation statements)

References 11 publications

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“…Although they did not describe a clear distinction between the attitudinal groups, their findings were broadly supportive of the conclusions of this synthesis, with no evidence of confliction or contradiction. 47 Kennedy et al 48 performed an institutional ethnography exploring the complexity of choice around elective CS. This included interviews with women within the English National Health Service provider settings.…”

Section: Resultsmentioning

confidence: 99%

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

et al. 2016

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ObjectiveTo identify what women report influences their preferred mode of birth after caesarean section.DesignSystematic review of qualitative literature using meta-ethnography.Data sourcesMedline, EMBASE, ASSIA, CINAHL and PsycINFO (1996 until April 2013; updated September 2015). Hand-searched journals, reference lists and abstract authors.Study selectionPrimary qualitative studies reporting women's accounts of what influenced their preferred mode of birth after caesarean section.Data extraction and synthesisPrimary data (quotations from study participants) and authors’ interpretations of these were extracted, compared and contrasted between studies, and grouped into themes to support the development of a ‘line of argument’ synthesis.Results20 papers reporting the views of 507 women from four countries were included. Distinctive clusters of influences were identified for each of three groups of women. Women who confidently sought vaginal birth after a caesarean section were typically driven by a long-standing anticipation of vaginal birth. Women who sought a repeat caesarean section were strongly influenced by distressing previous birth experiences, and at times, by encouragement from social contacts. Women who were more open to information and professional guidance had fewer strong preconceptions and concerns, and viewed a range of considerations as potentially important.ConclusionsWomen's attitudes towards birth after caesarean section appear to be shaped by distinct clusters of influences, suggesting that opportunities exist for clinicians to stratify and personalise decision support by addressing relevant ideas, concerns and experiences from the first caesarean section birth onwards.

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Section: Resultsmentioning

confidence: 99%

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

et al. 2016

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“… 26 , 29 Women’s awareness of baby delivery was influenced by social norms, cultures, beliefs, and healthcare services. 26 , 29 , 30 Mongolian minority is the dominant minority in Hohhot. 31 They maintained unique social cultures and have their traditional Mongolian medicine healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study

Liang¹,

Fan²,

Zhang³

et al. 2018

PPA

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ObjectiveThis study explored women’s preference for cesarean section (CS) and the preference for cesarean sections’ influencing factors, particularly nonmedical factors.MethodsA cross-sectional study was conducted in four tertiary hospitals in Hohhot. We recruited 1,169 pregnant women at ≥ 28 gestational weeks and classified subjects into three groups by delivery mode preference: vaginal birth (VB), CS, and “no clear preference”. We identified the influencing factors of women’s choices by multinomial logistic regression. The adjusted relative-risk ratios (aRRRs) for the factors affecting the preference for CS and “no clear preference” categories and their 95% CIs were computed, using the preference for VB as the reference group.ResultsVB was preferred by 80.3% of the subjects, 8.8% preferred CS, and 10.9% had not decided yet. In the multinomial logistic regression, pregnant women intending to have more than one child were less likely to prefer CS (aRRR: 0.37; 95% CI: 0.22–0.61); choosing a lucky day for baby birth was the strongest factor for CS preference (aRRR: 12.36; 95% CI: 6.62–23.08), and other factors for CS preference were being aged 40 years and above (aRRR: 4.21; 95% CI: 1.43–12.40), being ethnic minority (aRRR: 2.00; 95% CI: 1.17, 3.41), feeling difficulty in getting pregnant (aRRR: 2.23; 95% CI: 1.20, 4.13), and having husband’s preference for CS (aRRR: 7.62; 95% CI: 4.00–14.54). The top reasons for preferring CS were the belief that CS was safer (51.5%), associated with less pain (40.8%), and better for baby’s and woman’s health (24.3% and 22.3%, respectively).ConclusionLess than one-tenth of the study subjects preferred CS. The cultural beliefs had the strongest influence on the decision of delivery mode. Those intending to have two or more children following the two-child policy were less likely to choose CS.

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“…Possible reasons include special phenomena, such as a desire for children to be born on special days named “Auspicious day”, even “Auspicious hours”and thus, choose CS delivery. Women’s awareness of childbirth is also subject to cultural, social norms and expectations, as well as their local medical conditions and the medical, advice they receive [ 24 , 25 ]. Other studies also demonstrated the influence of religions and communities on the attitude to CS [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy

Wang

Baker

et al. 2016

IJERPH

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Objective: This study explores the basic demographic characteristics of expectant mothers in the context of their intentions regarding mode of delivery, in particular, the preference for caesarean delivery, and analyzes the social and psychological factors that influence delivery preference. Method: A cross-sectional survey of pregnant women was conducted during June to August in 2015. This study adopted a stratified sampling method, and 16 representative hospitals in five provinces of China were included. Results: 1755 and 590 of expectant mothers in their first and second pregnancies, respectively, were enrolled in this study. 354 (15.10%) intended to deliver by caesarean section and 585 (24.95%) participants were uncertain prior to delivery. 156 (8.89%) of expectant mothers in their first pregnancy and 198 (33.56%) expectant mothers in their second pregnancy intended to deliver by caesarean section. Ordinal logistic regression analysis found that nationality, parity, trimester of pregnancy, and advanced maternal age were factors associated with intention to deliver by caesarean (ordered logistic regression/three-level caesarean delivery intention criterion; odds ratios p < 0.05). Conclusions: 8.89% of first pregnancy expectant mothers and 33.56% of second pregnancy expectant mothers intended to deliver by caesarean section. Any intervention program to reduce the rate of Caesarean delivery should focus on the Han population, older pregnant women, and expectant mothers in their second pregnancy, at an early gestation.

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Elective caesarean delivery: A mixed method qualitative investigation

Cited by 26 publications

References 11 publications

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study

Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy

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Elective caesarean delivery: A mixed method qualitative investigation

Cited by 26 publications

References 11 publications

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

Vaginal birth after caesarean section: why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices

Women&rsquo;s cesarean section preferences and influencing factors in relation to China&rsquo;s two-child policy: a cross-sectional study

Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy

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Women’s cesarean section preferences and influencing factors in relation to China’s two-child policy: a cross-sectional study